OLM INSTITUTE OF SCIENCE AND TECHNOLOGY INC.

Formerly: OLM INSTITUTE AND SKILLS TRAINING CENTER FOR ALLIED COURSES INC.
777 Rizal St., San Jose, Baliwag, Bulacan 3006, Philippines
Telephone Nos.: (044) 766 3338, (044) 766 3341

PARENT’S PERMIT AND CONSENT FORM

FOR GRADE 12 WORK IMMERSION PROGRAM

________________________________________ of Grade 12 __________ has my

permission to participate to the WORK IMMERSION PROGRAM wherein they are
being exposed to the work-related environment that directly relates to their
specialization. I am allowing my son/daughter to be deployed at
_______________________________________________________ located at
__________________________________________________ every Thursday and
Friday starting _________________ until the completion of the required number
of hours.
By allowing my child to participate, I am aware of my duties and responsibilities as
a parent and I believe that the school, it’s officials, and teachers are always ready
to oversee and monitor my child’s progress in this experiential learning activity.

For everything related to this activity, you may contact me at ________________

__________________________________ ____________________
Parent’s/ Guardian Name and Signature Date

Noted by:

BUEN LENARD B. CATAPANG

Work Immersion Teacher